State of Nevada

NPI #1013243450 in Sparks, Nevada

Provider Information

NPI Number: 1013243450
Entity Type: Organization
Organization Name: State of Nevada
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF NEVADA
Primary Specialty: Internal Medicine
Enumeration Date: Oct 20, 2009
Last Updated: Oct 20, 2009

Practice Location

Address: 480 GALLETTI WAY
City: Sparks
State: Nevada
ZIP Code: 89431-5564
Phone: (775) 688-2001

Authorized Official

Name: ELIZABETH O'BRIEN
Title: BUSINESS MANAGER
Phone: (775) 688-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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